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3//4/a--. <br /> DATA UM Acar iatawrr BETWEEN <br /> Reseda lire Department <br /> and <br /> Anne tai Tre■Sprtation <br /> This Data Use A uemeot is made and entered into oa Septemier 1,nu by and between the Roseville Re <br /> (b tidier Holden and Aline Medial Tem porw1on(AMT)Qu.esftw"Recipient). <br /> 1. Mu armament sets forth the teems and oaadidons manna to which Holder will disclose certain protected <br /> healm information(haeaher'TM")in the farm of a Limited Dab Set to the Recipient, <br /> 2. Terms mod,but not otherwise defined,is this Agme rent shell have the mar bag gives the tams in the HIPAA <br /> Regulations at45 CPR Part I6I)-164. <br /> 3. Permitted Uses and Disclosures <br /> 3.1 Remy as otherwise specified herein,Recipient may melee all uses and disclosers of the Limited Data <br /> Set eaaasse y to conduct die resew&described herein:Date minded by the Raasv®e Ike <br /> Depertment will be Rind with Moe psel asditnil and inhaepi tai pint date k r peplum of <br /> anti AMT baking of firefighters is advanced patient ease disuse■-and em bentendhtg <br /> the name of titrsfighter∎AMr interactions dmi■i amsegeney rupee=it the dirt,eat ReaniOn <br /> The PHI elms&needed to adduce reamed Hdage between**Helier end Hadpied data <br /> war ern patient elate Limbed Data B dam,�,ad rite of meek..No ether PHI will be inelnded in the <br /> 32 In oddities to the Recipiei the individuals,or classes or individual,who are permitted to use or <br /> receive the Limited Data Set far reponse of the Research Project baba=The Anse petteet taera <br /> enapleyed by Anima Hu.pnal.th <br /> _ Ql■hsk Prod Bstlaile Lad H Tama Winder,Rims <br /> 'lb the Reynolds,Blinn meet fist classes Heather� . <br /> ripens=me not pert of the Recipient's waddi nos who <br /> man;dnealy involved is the Rese&J,Project,tits Recipient shell enter into a date a drawer with the <br /> ether classes dram before much mime tithe Limited DaEs Set. <br /> 4. Recipient Respeesibilides <br /> 4.1 Recipient mil not use or disclose the Limited Data Set for any purpose other than permitted by this <br /> Agreemempertaining to the ream&project or as repriced iced by law; <br /> 4.2 Recipient will use appropeirm administrative.physics'and tohaioal sefegtends to prevent t■e er <br /> disclosure ado Limited Dana Set other than as provided for by this Agreement; <br /> 4.3 Recipient will report to die holder my nee or&alas=of the Limited Data Set not provided for by <br /> this Agreement of which the Recipiatt becomes swore within 15 daps of beomaia(aware of such use <br /> or disclosure: <br /> 4A Recipient will Beane than my arm,including a o '.osur.to whom ft Provides the Unshed Data <br /> Set,woes to the saw eesMctioss and candidate diet apply through this Agreesttest to the Recipient <br /> with respect to the Limited Data Bat; <br /> 45 Recipient will not identify the lolrmalam contained in the Limited Data Set and <br /> 4.6 Recipient will not maim the individuals who sic the subject of the PHI contained is die Limbed Data <br /> S. Term and Termination <br /> 'Manes added 03/13/2 012 <br />